Protein C deficiency related to valproic acid therapy: A possible association with childhood stroke

被引:14
作者
Gruppo, R
DeGrauw, A
Fogelson, H
Glauser, T
Balasa, V
Gartside, P
机构
[1] Childrens Hosp, Med Ctr, Div Hematol Oncol, Cincinnati, OH 45229 USA
[2] Childrens Hosp, Med Ctr, Div Neurol, Cincinnati, OH 45229 USA
[3] Univ Cincinnati, Med Ctr, Div Biostat, Cincinnati, OH 45267 USA
关键词
D O I
10.1067/mpd.2000.108565
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We report a case of stroke in a child with acquired protein C deficiency receiving valproic acid (VPA). To investigate the possible association of VPA with protein C deficiency, protein C levels were measured in 20 children receiving VPA monotherapy and 20 children receiving other anticonvulsants. Protein C levels were reduced in up to 45% of the VPA-treated subjects.
引用
收藏
页码:714 / 718
页数:5
相关论文
共 12 条
[1]  
DALE BM, 1978, LANCET, V1, P1316
[2]   THROMBOCYTOPENIA SECONDARY TO HIGH VALPROATE LEVELS IN CHILDREN WITH EPILEPSY [J].
DELGADO, MR ;
RIELA, AR ;
MILLS, J ;
BROWNE, R ;
ROACH, ES .
JOURNAL OF CHILD NEUROLOGY, 1994, 9 (03) :311-314
[3]  
GANICK DJ, 1990, AM J PEDIAT HEMATOL, V12, P80
[4]   VALPROATE-MEDIATED DISTURBANCES OF HEMOSTASIS - RELATIONSHIP TO DOSE AND PLASMA-CONCENTRATION [J].
GIDAL, B ;
SPENCER, N ;
MALY, M ;
PITTERLE, M ;
WILLIAMS, E ;
COLLINS, M ;
JONES, J .
NEUROLOGY, 1994, 44 (08) :1418-1422
[5]   CHILDHOOD STROKE ASSOCIATED WITH PROTEIN-C OR PROTEIN-S DEFICIENCY [J].
ISRAELS, SJ ;
SESHIA, SS .
JOURNAL OF PEDIATRICS, 1987, 111 (04) :562-564
[6]  
MancoJohnson MJ, 1997, THROMB HAEMOSTASIS, V78, P710
[7]   HEMATOLOGIC MANIFESTATIONS OF LONG-TERM VALPROATE THERAPY [J].
MAY, RB ;
SUNDER, TR .
EPILEPSIA, 1993, 34 (06) :1098-1101
[8]   LABORATORY DIAGNOSIS OF PROTEIN-C DEFICIENCY [J].
MILETICH, JP .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 1990, 16 (02) :169-176
[9]  
NUSS R, 1995, PEDIATRICS, V96, P291
[10]  
OJEMANN LM, 1981, EPILEPSIA, V22, P242